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WO2003041777A1 - Dispositif a aerosol comprenant un embout de raccordement ameliore - Google Patents

Dispositif a aerosol comprenant un embout de raccordement ameliore Download PDF

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Publication number
WO2003041777A1
WO2003041777A1 PCT/US2002/036945 US0236945W WO03041777A1 WO 2003041777 A1 WO2003041777 A1 WO 2003041777A1 US 0236945 W US0236945 W US 0236945W WO 03041777 A1 WO03041777 A1 WO 03041777A1
Authority
WO
WIPO (PCT)
Prior art keywords
chamber
endpiece
pharmaceutical formulation
capsule
inlet
Prior art date
Application number
PCT/US2002/036945
Other languages
English (en)
Inventor
John D. Burr
Jeff R. Wood
Adrian E. Smith
John A. Howard
Original Assignee
Nektar Therapeutics
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Nektar Therapeutics filed Critical Nektar Therapeutics
Publication of WO2003041777A1 publication Critical patent/WO2003041777A1/fr

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M15/00—Inhalators
    • A61M15/08—Inhaling devices inserted into the nose
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M15/00—Inhalators
    • A61M15/0028—Inhalators using prepacked dosages, one for each application, e.g. capsules to be perforated or broken-up
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M15/00—Inhalators
    • A61M15/0028—Inhalators using prepacked dosages, one for each application, e.g. capsules to be perforated or broken-up
    • A61M15/003—Inhalators using prepacked dosages, one for each application, e.g. capsules to be perforated or broken-up using capsules, e.g. to be perforated or broken-up
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2202/00—Special media to be introduced, removed or treated
    • A61M2202/06—Solids
    • A61M2202/064—Powder
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2202/00—Special media to be introduced, removed or treated
    • A61M2202/20—Pathogenic agents
    • A61M2202/206—Viruses
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00—Anatomical parts of the body
    • A61M2210/06—Head
    • A61M2210/0618—Nose
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00—Anatomical parts of the body
    • A61M2210/06—Head
    • A61M2210/0625—Mouth

Definitions

  • a pharmaceutical formulation delivery technique involves the oral delivery of a pharmaceutical formulation in the form of a pill, capsule, elixir, or the like.
  • oral delivery can in some cases be undesirable.
  • many pharmaceutical formulations may be degraded in the digestive tract before they can be effectively absorbed by the body.
  • Inhaleable drug delivery where an aerosolized pharmaceutical formulation is orally or nasally inhaled by a patient to deliver the formulation to the patient' s respiratory tract, has proven to be a particularly effective and/or desirable alternative.
  • a pharmaceutical formulation is delivered deep within a patient's lungs where it may be absorbed into the blood stream.
  • Many types of inhalation devices exist including devices that aerosolize a dry powder, devices comprising a pharmaceutical formulation stored in or with an inhaleable propellant, devices which use a compressed gas to aerosolize a liquid pharmaceutical formulation, and similar devices.
  • a capsule containing an inhaleable dry powder is loaded into a chamber in an aerosolization device.
  • the dry powder is at least partially emptied and dispersed to aerosolize the dry powder so that it may be inhaled by a patient.
  • the manner of accessing the chamber may often lead to device inconsistencies and/or failures.
  • the dry powder in the cavity can cause the access mechanism to become less effective at efficiently opening and closing. Therefore, it is desirable to improve the manner of accessing an aerosolization device chamber. It is further desirable to access the chamber in a manner that reduces device inconsistencies and/or failures. It is still further desirable to access the cavity so that debris in the cavity will have reduced adverse affects on the functioning of the device.
  • an aerosolization apparatus comprises a body and an endpiece, the body and endpiece being connectable to one another by a connection mechanism.
  • the aerosolization apparatus further comprises locking member to prevent inadvertent disconnection of the parts .
  • an aerosolization apparatus comprises a body having an inlet; an endpiece having an outlet, the endpiece being connectable to the body to define a chamber, wherein the chamber is sized to receive a capsule containing a pharmaceutical formulation in a manner which allows the capsule to move within the chamber; a connection mechanism to provide selective connection of the endpiece to the body; a locking member to prevent undesired disconnection of the endpiece from the body; and a puncturing mechanism capable of providing an opening in the capsule; whereby when a user inhales, air enters into the chamber through the inlet so that the pharmaceutical formulation is aerosolized within the chamber and the aerosolized pharmaceutical formulation is delivered to the user through the outlet.
  • an aerosolization apparatus comprises a body having an inlet; an endpiece having an outlet, the endpiece being connectable to the body to define a chamber, wherein the chamber is sized to receive a capsule containing a pharmaceutical formulation in a manner which allows the capsule to move within the chamber; a connection mechanism to provide selective connection of the endpiece to the body; a blocking member positionable in a first position where the flow of air through the inlet is at least partially blocked and a second position where the flow of air through the inlet is less blocked; and a puncturing mechanism capable of providing an opening in the capsule; whereby when a user inhales, air enters into the chamber through the inlet so that the pharmaceutical formulation is aerosolized within the chamber and the aerosolized pharmaceutical formulation is delivered to the user through the outlet.
  • an aerosolization apparatus comprises a body having an inlet; an endpiece having an outlet, the endpiece being connectable to the body to define a chamber, wherein the chamber is sized to receive a capsule containing a pharmaceutical formulation in a manner which allows the capsule to move within the chamber; a connection mechanism to provide selective connection of the endpiece to the body; a flexible member to tether the endpiece to the body; and a puncturing mechanism capable of providing an opening in the capsule; whereby when a user inhales, air enters into the chamber through the inlet so that the pharmaceutical formulation is aerosolized within the chamber and the aerosolized pharmaceutical formulation is delivered to the user through the outlet.
  • an aerosolization apparatus comprises a body having an inlet; an endpiece having an outlet, the endpiece being connectable to the body to define a chamber having a longitudinal axis, wherein the chamber is sized to receive a capsule containing a pharmaceutical formulation in a manner which allows the capsule to move within the chamber; a connection mechanism to provide selective connection of the endpiece to the body, wherein a rotational force is needed to connect or disconnect the endpiece and the body, the rotational force being applied about an axis which is not parallel to the longitudinal axis of the chamber; and a puncturing mechanism capable of providing an opening in the capsule; whereby when a user inhales, air enters into the chamber through the inlet so that the pharmaceutical formulation is aerosolized within the chamber and the aerosolized pharmaceutical formulation is delivered to the user through the outlet.
  • a method of aerosolizing a pharmaceutical formulation comprises inserting a capsule containing a pharmaceutical formulation into a chamber in a body; connecting an endpiece to the body; locking the endpiece to the body; before, during, or after inserting the capsule into the chamber, providing an opening in the capsule; and inhaling through an opening in the endpiece to cause air to flow into the chamber through an inlet in the body thereby aerosolizing the pharmaceutical formulation.
  • a method of aerosolizing a pharmaceutical formulation comprises inserting a capsule containing a pharmaceutical formulation into a chamber in a body; at least partially blocking an inlet in the body; connecting an endpiece to the body; unblocking the inlet in the body; before, during, or after inserting the capsule into the chamber, providing an opening in the capsule; and inhaling through an opening in the endpiece to cause air to flow into the chamber through the inlet in the body thereby aerosolizing the pharmaceutical formulation.
  • a method of aerosolizing a pharmaceutical formulation comprises inserting a capsule containing a pharmaceutical formulation into a chamber in a body; rotating an endpiece relative to the body to connect the endpiece to the body, the rotation being about an axis which is not parallel to the longitudinal axis of the chamber; before, during, or after inserting the capsule into the chamber, providing an opening in the capsule; and inhaling through an opening in the endpiece to cause air to flow into the chamber through an inlet in the body thereby aerosolizing the pharmaceutical formulation.
  • Figure 1 is a schematic sectional side view of a version of an aerosolization device of the invention with an endpiece and body connected;
  • Figure 2 is a schematic sectional side view of the version of an aerosolization device of Figure 1 with the endpiece and body disconnected;
  • Figure 3 is a schematic sectional side view of a version of an aerosolization device in use;
  • Figures 4A and 4B are schematic side views of another version of an aerosolization device in disconnected and connected configurations, respectively;
  • Figure 5 is a schematic sectional view of a version of an aerosolization device;
  • Figure 6 is a schematic sectional view of a version of an aerosolization device
  • Figures 7A and 7B are schematic side views of another version of an aerosolization device in disconnected and connected configurations, respectively.
  • Figures 8 A and 8B are schematic side views of another version of an aerosolization device in disconnected and connected configurations, respectively.
  • the present invention relates to delivering an aerosolized pharmaceutical formulation to a patient.
  • the process is illustrated in the context of aerosolizing a dry powder pharmaceutical formulation, the present invention can be used in other processes and should not be limited to the examples provided herein.
  • the aerosolization device 100 includes a body 105 and an endpiece 110 that may be attached to the body 105 to form a chamber 115 within the interior of the body 105 and the endpiece 110.
  • the endpiece 110 includes an end 120 defining an outlet 125.
  • the end 120 may be sized and shaped to be received in a user's mouth. Alternatively, the end 120 may be sized and shaped to be received in a nostril of a user or may sized and shaped to be received by a mask, a spacer chamber, a respirator circuit, or the like.
  • the body includes one or more inlets 130 in communication with the chamber 115.
  • the inlets 130, the chamber 115, and the outlet 125 define an airway through the aerosolization device 100. Accordingly, when a user contacts the endpiece 110 and inhales or otherwise creates a vacuum at the outlet 125, a pharmaceutical formulation within the chamber 115 may be delivered to the user through the outlet 125.
  • the pharmaceutical formulation may be contained within a container that is positionable within the chamber 115. In one version, the pharmaceutical formulation may be contained within a capsule that is positionable within the chamber 115, the chamber
  • the endpiece 110 includes a perforated member 135 having one or more openings 140 therein.
  • the perforated member 135 sufficiently blocks the chamber 115 to retain a capsule in the chamber 115, while the openings 140 allow air and/or other material to pass to the outlet
  • a connection mechanism 150 may be provided to allow the endpiece 110 to be attached to the body 105.
  • connection mechanism 150 may allow the body 105 and the endpiece 110 to be disconnected to allow for access to the chamber 115.
  • the endpiece 110 may be disconnected from the body 105 to allow a pharmaceutical formulation to be inserted into the chamber, for example by allowing a capsule to be inserted into the chamber 115.
  • the connection mechanism includes a body connection member 150a that cooperates with an endpiece connection member 150b to selectively connect and disconnect the endpiece 110 to the body 105.
  • the endpiece 110 may again be attached to the body 105 to secure the capsule 160 within the chamber 115, as shown in Figure 3.
  • the capsule 160 is opened, for example by puncturing the capsule 160 prior to insertion or within the chamber 115, such as by longitudinally advancing a sliding puncture mechanism 162.
  • the pharmaceutical formulation in the capsule is allowed to exit the capsule 160.
  • the pharmaceutical formulation is in a dry powder form and the flow of air through the airway causes the pharmaceutical formulation to be aerosolized.
  • a user may contact the endpiece 110 with his or her mouth and inhale, thereby drawing air through the outlet 125, as shown by arrow 165.
  • This inhalation causes air to be taken in through the inlets 130, as shown by arrows 170.
  • the air taken in causes the capsule 160 to agitate within the chamber 115.
  • the agitation causes the dry powder pharmaceutical formulation to leave the capsule 160 and become aerosolized in the airway.
  • the aerosolized pharmaceutical formulation passes through the perforated member 135 and is delivered to the user where it may be inhaled to a position in the user's respiratory tract.
  • a plurality of inlets 130 may be designed to cause the inlet air 170 to swirl within the chamber, for example, by being at least partially tangentially oriented as described in U.S. Patent 4,995,385 and U.S.
  • the chamber 115 comprises a longitudinal axis that lies generally in the inhalation direction 165, and the capsule 160 is insertable lengthwise into the chamber 115 so that the capsule's longitudinal axis may be parallel to the longitudinal axis of the chamber 115.
  • the swirling air flow then causes the capsule to rotate within the chamber 115 in a manner where the longitudinal axis of the capsule is remains at an angle less than 80 degrees, and preferably less than 45 degrees from the longitudinal axis of the chamber. In one version, this rotation is caused by the width of the chamber being less than the length of the capsule.
  • connection mechanism 150 may be designed to prevent undesired disconnection of the endpiece 110 from the body 105 during use.
  • connection mechanism 150 includes a locking member which prevents undesired disconnection of the endpiece 110 from the body 105. Accordingly, a force in the inhalation direction 165 is insufficient to disconnect the endpiece 110 from the body 105 when the locking member is in a locking position. Examples of connection mechanisms of this type are schematically shown in Figures 4-6.
  • the endpiece 110 comprises a female portion 330 that snap fits onto a male portion 335 on the body 105.
  • a projection 345 is received within a recess 350 on the female portion 330 to provide the snap fit.
  • the female portion 330 may include a sloped surface 340 to facilitate insertion of the female portion over the projection 345.
  • a locking member 353 may be provided to prevent inadvertent disconnection of the endpiece 110 from the body
  • the locking member 353 may comprise a slidable sleeve 355 that may be positioned around the female portion 330, as shown in Figure 4B. In the locked position of Figure 4B, the sleeve 355 prevents the female portion 330 from expanding and thereby locks the projection 345 within the recess 350.
  • the locking member 353 is positioned in the locking position during use. For example, in the version shown in Figure 5, the locking member 353 may be biased into the locked position. For example, a compressed spring 365 may bias the sleeve 355 away from a collar 360 on the body 105.
  • the user manually displaces the sleeve 355 against the bias of the spring 365 in order to connect the parts or disconnect the parts.
  • the sleeve 355 may be slidable between collars 370, 375 and may be positioned in either a locked or an unlocked position, the positions being separated by a projection 380 on the outer surface of the body
  • the projection 380 is of sufficient size to allow the user to slide the sleeve 355 thereover but to provide enough resistance to indicate to the user that the sleeve is positioned on the projection 380 instead of in one of the positions on either side of the projection 380.
  • the sleeve 355 may be positioned over the inlets 130 when in the unlocked position.
  • the sleeve serves as a blocking member to at least partially block the inlets 130 to prevent air to flow through the inlets 130, substantially preventing unlocked use of the aerosolization device 100.
  • FIG. 7A and 7B and Figures 8 A and 8B Another version of an aerosolization device 100 is shown in Figures 7A and 7B and Figures 8 A and 8B.
  • the body 105 and the endpiece 110 remain attached to one another, even when disconnected. This attachment further prevents the endpiece 105 from being inhaled by a user.
  • the body 105 and the endpiece 110 are connected by a flexible connector 385.
  • the flexible connector 385 operate as a hinge about which the body 105 and the endpiece 110 may pivot relative to one another.
  • the flexible connector may merely tether the endpiece 110 to the body 105 to prevent complete separation of the parts.
  • the flexible connector 385 may be biased into the configuration shown in Figure 7A.
  • the flexible connector 385 helps prevent undesired separation of the endpiece 110 from the body 105.
  • the body 105 and the endpiece 110 are hinged together be a hinge 390 comprising a pivot pin 395 about which the body 105 and the endpiece 110 relatively rotate.
  • the relative rotation is about an axis substantially perpendicular to the longitudinal axis of the chamber in order to prevent inadvertent disconnection of the parts.
  • the hinge 390 may include a bias member to bias the endpiece 110 toward the body 105.
  • the connection does not include a snap fit connection.
  • the snap fit connection is included with the hinge 390.
  • the invention provides a system and method for aerosolizing a pharmaceutical formulation and delivering the pharmaceutical formulation to the lungs of the user.
  • the pharmaceutical formulation may comprise powdered medicaments, liquid solutions or suspensions, and the like, and may include an active agent.
  • the active agent described herein includes an agent, drug, compound, composition of matter or mixture thereof which provides some pharmacologic, often beneficial, effect. This includes foods, food supplements, nutrients, drugs, vaccines, vitamins, and other beneficial agents. As used herein, the terms further include any physiologically or pharmacologically active substance that produces a localized or systemic effect in a patient.
  • An active agent for incorporation in the pharmaceutical formulation described herein may be an inorganic or an organic compound, including, without limitation, drugs which act on: the peripheral nerves, adrenergic receptors, cholinergic receptors, the skeletal muscles, the cardiovascular system, smooth muscles, the blood circulatory system, synoptic sites, neuroeffector junctional sites, endocrine and hormone systems, the immunological system, the reproductive system, the skeletal system, autacoid systems, the alimentary and excretory systems, the histamine system, and the central nervous system.
  • drugs which act on: the peripheral nerves, adrenergic receptors, cholinergic receptors, the skeletal muscles, the cardiovascular system, smooth muscles, the blood circulatory system, synoptic sites, neuroeffector junctional sites, endocrine and hormone systems, the immunological system, the reproductive system, the skeletal system, autacoid systems, the alimentary and excretory systems, the histamine system, and the central nervous system.
  • Suitable active agents may be selected from, for example, hypnotics and sedatives, psychic energizers, tranquilizers, respiratory drugs, anticonvulsants, muscle relaxants, antiparkinson agents (dopamine antagnonists), analgesics, anti-inflammatories, antianxiety drugs (anxiolytics), appetite suppressants, antimigraine agents, muscle contractants, anti-infectives (antibiotics, antivirals, antifungals, vaccines) antiarthritics, antimalarials, antiemetics, anepileptics, bronchodilators, cytokines, growth factors, anti-cancer agents, antithrombotic agents, antihypertensives, cardiovascular drugs, antiarrhythmics, antioxicants, anti-asthma agents, hormonal agents including contraceptives, sympathomimetics, diuretics, lipid regulating agents, antiandrogenic agents, antiparasitics, anticoagulants, neoplasties, antineo
  • the active agent may fall into one of a number of structural classes, including but not limited to small molecules, peptides, polypeptides, proteins, polysaccharides, steroids, proteins capable of eliciting physiological effects, nucleotides, oligonucleotides, polynucleotides, fats, electrolytes, and the like.
  • active agents suitable for use in this invention include but are not limited to one or more of calcitonin, erythropoietin (EPO), Factor VIII, Factor IX, ceredase, cerezyme, cyclosporin, granulocyte colony stimulating factor (GCSF), thrombopoietin (TPO), alpha-1 proteinase inhibitor, elcatonin, granulocyte macrophage colony stimulating factor (GMCSF), growth hormone, human growth hormone (HGH), growth hormone releasing hormone (GHRH), heparin, low molecular weight heparin (LMWH), interferon alpha, interferon beta, interferon gamma, interleukin-1 receptor, interleukin-2, interleukin-1 receptor antagonist, interleukin-3, interleukin-4, interleukin-6, luteinizing hormone releasing hormone (LHRH), factor IX, insulin, pro-insulin, insulin analogues (e.g., mono-acylated
  • Patent No. 5,922,675 which is incorporated herein by reference in its entirety
  • amylin, C-peptide somatostatin, somatostatin analogs including octreotide, vasopressin, follicle stimulating hormone (FSH), insulin-like growth factor (IGF), insulintropin, macrophage colony stimulating factor (M-CSF), nerve growth factor (NGF), tissue growth factors, keratinocyte growth factor (KGF), glial growth factor (GGF), tumor necrosis factor (TNF), endothelial growth factors, parathyroid hormone (PTH), glucagon-like peptide thymosin alpha 1,
  • Hb/ ⁇ ia inhibitor alpha-1 antitrypsin, phosphodiesterase (PDE) compounds, VLA-4 inhibitors, bisphosponates, respiratory syncytial virus antibody, cystic fibrosis transmembrane regulator (CFTR) gene, deoxyreibonuclease (Dnase), bactericidal/permeability increasing protein (BPI), anti-CMV antibody, 13-cis retinoic acid, macrolides such as erythromycin, oleandomycin, troleandomycin, roxithromycin, clarithromycin, davercin, azithromycin, flurithromycin, dirithromycin, josamycin, spiromycin, midecamycin, leucomycin, miocamycin, rokitamycin, andazithromycin, and swinolide A; fluoroquinolones such as ciprofloxacin, ofloxacin, levofloxacin, trovafloxacin, alatroflox
  • Active agents for use in the invention further include nucleic acids, as bare nucleic acid molecules, vectors, associated viral particles, plasmid DNA or RNA or other nucleic acid constructions of a type suitable for transfection or transformation of cells, i.e., suitable for gene therapy including antisense.
  • an active agent may comprise live attenuated or killed viruses suitable for use as vaccines.
  • Other useful drugs include those listed within the Physician's Desk Reference (most recent edition).
  • the amount of active agent in the pharmaceutical formulation will be that amount necessary to deliver a therapeutically effective amount of the active agent per unit dose to achieve the desired result. In practice, this will vary widely depending upon the particular agent, its activity, the severity of the condition to be treated, the patient population, dosing requirements, and the desired therapeutic effect.
  • compositions of the invention will generally contain anywhere from about 1% by weight to about 99% by weight active agent, typically from about 2% to about 95% by weight active agent, and more typically from about 5% to 85% by weight active agent, and will also depend upon the relative amounts of additives contained in the composition.
  • the compositions of the invention are particularly useful for active agents that are delivered in doses of from 0.001 mg/day to 100 mg/day, preferably in doses from 0.01 mg/day to 75 mg/day, and more preferably in doses from 0.10 mg/day to 50 mg/day. It is to be understood that more than one active agent may be incorporated into the formulations described herein and that the use of the term "agent" in no way excludes the use of two or more such agents.
  • the pharmaceutical formulation may comprise a pharmaceutically acceptable excipient or carrier which may be taken into the lungs with no significant adverse toxicological effects to the subject, and particularly to the lungs of the subject.
  • a pharmaceutical formulation may optionally include one or more pharmaceutical excipients which are suitable for pulmonary administration. These excipients, if present, are generally present in the composition in amounts ranging from about 0.01 % to about 95% percent by weight, preferably from about 0.5 to about 80%, and more preferably from about 1 to about 60% by weight.
  • excipients will, in part, serve to further improve the features of the active agent composition, for example by providing more efficient and reproducible delivery of the active agent, improving the handling characteristics of powders, such as flowability and consistency, and/or facilitating manufacturing and filling of unit dosage forms.
  • excipient materials can often function to further improve the physical and chemical stability of the active agent, minimize the residual moisture content and hinder moisture uptake, and to enhance particle size, degree of aggregation, particle surface properties, such as rugosity, ease of inhalation, and the targeting of particles to the lung.
  • One or more excipients may also be provided to serve as bulking agents when it is desired to reduce the concentration of active agent in the formulation.
  • compositions and additives useful in the present pharmaceutical formulation include but are not limited to amino acids, peptides, proteins, non-biological polymers, biological polymers, carbohydrates, such as sugars, derivatized sugars such as alditols, aldonic acids, esterified sugars, and sugar polymers, which may be present singly or in combination.
  • Suitable excipients are those provided in WO 96/32096, which is incorporated herein by reference in its entirety.
  • the excipient may have a glass transition temperatures (Tg) above about 35° C, preferably above about 40 °C, more preferably above 45° C, most preferably above about 55 °C.
  • Exemplary protein excipients include albumins such as human serum albumin (HSA), recombinant human albumin (rHA), gelatin, casein, hemoglobin, and the like.
  • Suitable amino acids (outside of the dileucyl-peptides of the invention), which may also function in a buffering capacity, include alanine, glycine, arginine, betaine, histidine, glutamic acid, aspartic acid, cysteine, lysine, leucine, isoleucine, valine, methionine, phenylalanine, aspartame, tyrosine, tryptophan, and the like.
  • Amino acids falling into this category include hydrophobic amino acids such as leucine, valine, isoleucine, tryptophan, alanine, methionine, phenylalanine, tyrosine, histidine, and proline.
  • Dispersibility- enhancing peptide excipients include dimers, trimers, tetramers, and pentamers comprising one or more hydrophobic amino acid components such as those described above.
  • Carbohydrate excipients suitable for use in the invention include, for example, monosaccharides such as fructose, maltose, galactose, glucose, D- mannose, sorbose, and the like; disaccharides, such as lactose, sucrose, trehalose, cellobiose, and the like; polysaccharides, such as raffinose, melezitose, maltodextrins, dextrans, starches, and the like; and alditols, such as mannitol, xylitol, maltitol, lactitol, xylitol sorbitol (glucitol), pyranosyl sorbitol, myoinositol and the like.
  • monosaccharides such as fructose, maltose, galactose, glucose, D- mannose, sorbose, and the like
  • disaccharides such as lac
  • the pharmaceutical formulation may also include a buffer or a pH adjusting agent, typically a salt prepared from an organic acid or base.
  • buffers include organic acid salts of citric acid, ascorbic acid, gluconic acid, carbonic acid, tartaric acid, succinic acid, acetic acid, or phthalic acid, Tris, tromethamine hydrochloride, or phosphate buffers.
  • the pharmaceutical formulation may also include polymeric excipients/additives, e.g., polyvinylpyrrolidones, derivatized celluloses such as hydroxymethylcellulose, hydroxyethylcellulose, and hydroxypropylmethylcellulose, Ficolls (a polymeric sugar), hydroxyethylstarch, dextrates (e.g., cyclodextrins, such as 2-hydroxypropyl- ⁇ -cyclodextrin and sulfobutylether- ⁇ -cyclodextrin), polyethylene glycols, and pectin.
  • polymeric excipients/additives e.g., polyvinylpyrrolidones, derivatized celluloses such as hydroxymethylcellulose, hydroxyethylcellulose, and hydroxypropylmethylcellulose, Ficolls (a polymeric sugar), hydroxyethylstarch, dextrates (e.g., cyclodextrins, such as 2-hydroxyprop
  • the pharmaceutical formulation may further include flavoring agents, taste-masking agents, inorganic salts (for example sodium chloride), antimicrobial agents (for example benzalkonium chloride), sweeteners, antioxidants, antistatic agents, surfactants (for example polysorbates such as "TWEEN 20" and “TWEEN 80"), sorbitan esters, lipids (for example phospholipids such as lecithin and other phosphatidylcholines, phosphatidylethanolamines), fatty acids and fatty esters, steroids (for example cholesterol), and chelating agents (for example EDTA, zinc and other such suitable cations).
  • inorganic salts for example sodium chloride
  • antimicrobial agents for example benzalkonium chloride
  • sweeteners for example polysorbates such as "TWEEN 20" and "TWEEN 80”
  • surfactants for example polysorbates such as "TWEEN 20" and "TWEEN 80”
  • sorbitan esters for example phospholipids such as lec
  • Mass median diameter is a measure of mean particle size, since the powders of the invention are generally polydisperse (i.e., consist of a range of particle sizes). MMD values as reported herein are determined by centrifugal sedimentation, although any number of commonly employed techniques can be used for measuring mean particle size.
  • Mass median aerodynamic diameter or “MMAD” is a measure of the aerodynamic size of a dispersed particle.
  • the aerodynamic diameter is used to describe an aerosolized powder in terms of its settling behavior, and is the diameter of a unit density sphere having the same settling velocity, generally in air, as the particle.
  • the aerodynamic diameter encompasses particle shape, density and physical size of a particle.
  • MMAD refers to the midpoint or median of the aerodynamic particle size distribution of an aerosolized powder determined by cascade impaction.
  • the powdered formulation for use in the present invention includes a dry powder having a particle size selected to permit penetration into the alveoli of the lungs, that is, preferably 10 ⁇ m mass median diameter (MMD), preferably less than 7.5 ⁇ m, and most preferably less than 5 ⁇ m, and usually being in the range of 0.1 ⁇ m to 5 ⁇ m in diameter.
  • the delivered dose efficiency (DDE) of these powders may be greater than 30%, more preferably greater than 40%, more preferably greater than 50% and most preferably greater than 60% and the aerosol particle size distribution is about 1.0 - 5.0 ⁇ m mass median aerodynamic diameter (MMAD), usually 1.5 - 4.5 ⁇ m MMAD and preferably 1.5 - 4.0 ⁇ m MMAD.

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Otolaryngology (AREA)
  • Medicinal Preparation (AREA)

Abstract

La présente invention concerne un appareil à aérosol (100) qui comprend un corps (105) muni d'une entrée (130), un embout (110) muni d'une sortie (125), l'embout pouvant être raccordé au corps pour définir une chambre (115), la chambre possédant une dimension qui lui permet de recevoir une capsule contenant une formulation pharmaceutique d'une manière qui permet à la capsule de se déplacer à l'intérieur de la chambre. Un mécanisme de raccordement (330, 335) permet un raccordement sélectif de l'embout au corps, et un organe de verrouillage (353) empêche l'embout de se détacher accidentellement du corps. Lors de l'inhalation par un utilisateur, l'air pénètre dans la chambre à travers l'entrée de façon que la formulation pharmaceutique est aérosolisée à l'intérieur de la chambre et que la formulation pharmaceutique aérosolisée est délivrée à l'utilisateur à travers la sortie. Dans une autre version, l'embout et le corps sont reliés l'un à l'autre par une charnière.
PCT/US2002/036945 2001-11-14 2002-11-14 Dispositif a aerosol comprenant un embout de raccordement ameliore WO2003041777A1 (fr)

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US33654101P 2001-11-14 2001-11-14
US60/336,541 2001-11-14

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WO2003041777A1 true WO2003041777A1 (fr) 2003-05-22

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US8715623B2 (en) 2001-12-19 2014-05-06 Novartis Ag Pulmonary delivery of aminoglycoside
US20210338397A1 (en) * 2020-05-04 2021-11-04 Stoma Ventures, LLC Disposable dental aerosol device

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WO2012072544A1 (fr) * 2010-11-29 2012-06-07 Sanofi-Aventis Deutschland Gmbh Module médicamenté pour inhalateur
US20150010527A1 (en) 2012-02-01 2015-01-08 Protalix Ltd. Dnase i polypeptides, polynucleotides encoding same, methods of producing dnase i and uses thereof in therapy
US20170304459A1 (en) 2014-10-10 2017-10-26 Alnylam Pharmaceuticals, Inc. Methods and compositions for inhalation delivery of conjugated oligonucleotide
KR102545359B1 (ko) 2016-11-30 2023-06-20 필립모리스 프로덕츠 에스.에이. 맞춤 크기의 공동을 갖는 흡입기
EP3548125B1 (fr) * 2016-11-30 2021-07-14 Philip Morris Products S.A. Inhalateur avec bouchon d'extrémité de tourbillonnement
KR102686555B1 (ko) * 2017-12-28 2024-07-19 필립모리스 프로덕츠 에스.에이. 와류 터널을 갖는 흡입기
KR102697635B1 (ko) * 2018-02-19 2024-08-26 필립모리스 프로덕츠 에스.에이. 건조 분말 흡입기
CN114375210B (zh) * 2019-09-26 2024-08-27 菲利普莫里斯生产公司 具有扭转型远端元件的吸入器制品
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US9421166B2 (en) 2001-12-19 2016-08-23 Novartis Ag Pulmonary delivery of aminoglycoside
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US20210338397A1 (en) * 2020-05-04 2021-11-04 Stoma Ventures, LLC Disposable dental aerosol device
US12226273B2 (en) * 2020-05-04 2025-02-18 Stoma Ventures, LLC Disposable dental aerosol device

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